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Premature ejaculation and reduced sexual sensation during intercourse
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Sexual Health & Wellness
Question #18314
55 days ago
160

Premature ejaculation and reduced sexual sensation during intercourse - #18314

Souhaib

Hello Doctor, I am seeking professional advice regarding a sexual health concern. During sexual intercourse, I often experience premature ejaculation, usually occurring within about 7 minutes or sometimes even sooner. This has been affecting my confidence and overall satisfaction. In addition, during intercourse I notice reduced sexual sensation and difficulty maintaining strong arousal for a longer period. At times, the sensation feels weak, which makes it harder to continue comfortably. I suspect that this issue may be related to my past habit of frequent masturbation, but I am not sure if this is the real cause or if there could be other medical or psychological reasons. I would like to know what could be causing premature ejaculation and reduced sensation, and what treatment options are available. I am interested in safe medical treatments, natural remedies, exercises, or behavioral techniques that could help delay ejaculation and improve control. I do not wish to use Viagra, as I do not have erectile dysfunction or heart-related conditions. My main goal is to naturally increase the duration of intercourse and improve sexual performance in a healthy and safe way. Please advise if any tests or lifestyle changes are recommended. Thank you.

Premature ejaculation
Sexual performance
Reduced sensation
Male sexual health
Masturbation
300 INR (~3.53 USD)
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
55 days ago
5

Hello dear See for premature ejaculation please follow below precautions and medication Avoid heavy meals and alcohol Take ashwagandha or triphala once a day for 2 months Do meditation Do physical exercises atleast for half an hour Especially kegel exercises Take shilajeet for 1 month once a day In case of no improvement in 1 month, kindly consult gynaecologist for further clarification Hopefully you recover soon Regards

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
55 days ago
5

Hello,

Stay calm , You have got this !!

Premature ejaculation is very common, especially in men The good news is that it can be managed effectively with the right approach.

1.You can begin with behavioural methods;Start stop technique,Squeeze technique 2.Do kegel exercises 3.Use condoms 4.Maintain good lifestyle- exercise,good sleep

Then go with numbing sprays

You can try natural remedies like Aswagandha, Saffron,WALNUT (High success rate)

If and only if behavioural and topical methods is not working , (2-3 months)consult a sexologist or urologist for medical therapy.

👍About tests;

Only if PE is long-term, sudden, or happens with other problems.

Possible tests include:

Blood tests Blood sugar (diabetes) Thyroid test (TSH) Hormone levels (testosterone)

Urine test To rule out infection (if pain, burning, discharge)

Physical examination Penis and testicles Prostate (only in adults, rarely in young people)

Don’t worry. 🛑This is completely manageable in most cases.

Thank you

877 answered questions
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Premature ejaculation is a common issue many men face, and it’s understandable that you’re seeking solutions for it. The time you describe is actually within the “normal” range, but if it’s causing distress, it’s worth exploring further. There can be several factors at play, including psychological components like anxiety or stress, which can exacerbate premature ejaculation. It’s important to also consider physical factors, potentially including hypersensitivity or underlying conditions that could affect both arousal and sensation.

Since you mentioned a history of frequent masturbation, this could potentially impact sensitivity or the ejaculatory reflex over time. However, it’s not necessarily the sole cause and eliminating this won’t always resolve the issue. To address this, you might explore behavioral techniques such as the “stop-start” method or “squeeze” technique. These involve pausing stimulation to delay ejaculation and can over time help you achieve better control.

Pelvic floor exercises, or Kegel exercises, are another great way to gain better control over ejaculation. These exercises strengthen the muscles involved in ejaculation, potentially improving duration.

On the medical front, options like topical anesthetic creams can reduce sensitivity, though they need to be used cautiously to avoid affecting your partner’s sensation. If anxiety is a factor, low-dose selective serotonin reuptake inhibitors (SSRIs) may help, but this requires a conversation with a healthcare provider to consider potential side effects. Therapy or counseling might also be beneficial, particularly if performance anxiety or relationship dynamics play a part.

As for reduced sensation, any underlying medical issues, such as nerve function affecting sensation, or hormonal imbalances, may need evaluation. If other symptoms or persistent problems occur, consulting a healthcare professional for comprehensive evaluation and necessary tests, like hormone levels or neurological function, is advisable.

Lifestyle factors such as regular exercise, stress management, and maintaining a healthy diet can also contribute positively by improving circulation and boosting mood and energy levels, ultimately enhancing sexual performance. Limiting alcohol and avoiding recreational drugs is similarly beneficial given their potential impact on sensation and performance.

Ultimately, the best approach is often a combination tailored to your specific needs and circumstances. If after trying these steps you’re still experiencing issues, or if you’re concerned about underlying causes, don’t hesitate to seek a specialist consultation, potentially with a urologist or a sex therapist, who can offer more targeted interventions based on your personal medical history and current health.

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
54 days ago
5

Hello Souhaib

See before taking any medication I would like to suggest some curative and preventive measures for better clarity Avoid heavy meals and alcohol Take ashwagandha or triphala once a day for 2 months Do meditation Do physical exercises atleast for half an hour Especially kegel exercises atleast half an hour daily Take shilajeet once a day for 1 month once a day . Focus on a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. Foods like nuts, seeds, and dark chocolate can be beneficial.

Thank you

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
54 days ago
5

Personal counselling is needed. This requires physical consultation.

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Dr. Nikhil Chauhan
I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.
54 days ago
5

Hello, thanks for sharing your concern so openly.

Premature ejaculation around 7 minutes with reduced sensation is common and usually treatable, often linked to performance anxiety, heightened sensitivity, or past masturbation patterns but rarely due to serious disease.

Very effective non-Viagra options include start–stop and squeeze techniques, pelvic floor (Kegel) exercises, condoms or topical desensitizing sprays, and structured psychosexual or cognitive‑behavioural therapy to break the anxiety–ejaculation cycle.

Lifestyle measures like regular exercise, good sleep, limiting porn, cutting down alcohol/smoking, and open communication with your partner further improve control and sensation over time.

With guided therapy and follow‑up, most men gain much better control and confidence, and medicines (like SSRIs) are used only if needed and can often be tapered later.

Dr Nikhil Chauhan Urologist

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